Chiropractic
Back Clinic Chiropractic. Iyi imhando yeimwe nzira yekurapa inotarisa kuongororwa uye kurapwa kweakasiyana-siyana musculoskeletal kukuvara uye mamiriro, kunyanya ayo akabatana nemusana. Dr. Alex Jimenez anokurukura kuti kugadziriswa kwemusana uye kushandiswa kwebhuku nguva dzose kunogona kubatsira zvikuru zvose kuvandudza uye kubvisa zviratidzo zvakawanda zvinogona kukonzera kusagadzikana kumunhu. Chiropractors vanotenda pakati pezvikonzero zvikuru zvekurwadziwa uye zvirwere ndeyekukanganisa kwe vertebrae mumutsara wepinini (izvi zvinozivikanwa sechiropractic subluxation).
Kuburikidza nekushandiswa kwekuongorora kwemanyore (kana palpation), kunyatsoiswa kumanikidza, kukwiza, uye manyorero ekugadzirisa vertebrae uye majoini (anonzi magadzirirwo), chiropractors inogona kuderedza kumanikidzwa uye kutsamwa patsinga, kudzorera majoini kufamba, uye kubatsira kudzorera muviri homeostasis. . Kubva ku subluxations, kana spinal misalignments, kusvika kune sciatica, seti yezviratidzo pamwe chete nesciatic nerve inokonzerwa netsinga impingement, chiropractic kuchengetedza inogona kudzorera zvishoma nezvishoma chimiro chemunhu. Dr. Jimenez anounganidza boka remafungiro pamusoro pechiropractic kuti anyatso kudzidzisa vanhu pane zvakasiyana-siyana zvekukuvadzwa uye mamiriro ezvinhu anobata muviri wemunhu.
by Dr Alex Jimenez chisingaperi Pain , Nerve Injury
Kune vanhu vanotarisana nemarwadzo asingagumi vanogona kuva nekunzwisisa zviri nani kwenyanzvi dzekugadzirisa marwadzo kubatsira mukugadzira zvirongwa zvekurapa zvakasiyana-siyana?
Pain Management Nyanzvi
Pain management inyanzvi yekurapa inokura iyo inotora nzira dzakasiyana-siyana dzekurapa marudzi ese emarwadzo. Ibazi remushonga rinoshandisa nzira dzakaratidzwa nesainzi dzekudzikisa, kuderedza, uye kugadzirisa zviratidzo zvekurwadziwa uye manzwiro. Vanamazvikokota vepain management vanoongorora, kugadzirisa, uye kubata huwandu hwemamiriro ezvinhu, kusanganisira kurwadziwa kweuropathic, sciatica, kurwadziwa kwepashure, kurwadziwa kusingaperi, nezvimwe. Vazhinji vatapi vehutano hwekutanga vanoendesa varwere vavo kune nyanzvi dzekutarisira marwadzo kana zviratidzo zvekurwadziwa zvichienderera kana zvakakosha mukuratidzwa kwavo.
Nyanzvi
Vatariri vehutano vanonyanya kugadzirisa marwadzo vanoziva kuoma kwemarwadzo uye vanosvika kune dambudziko kubva kumativi ose. Kurapa pakiriniki yemarwadzo kunonyanyoenderana nemurwere asi kunoenderana nezvinowanikwa zvekiriniki. Parizvino, hapana mipimo yakatarwa yemhando dzechirango chinodiwa, chimwe chikonzero nzira dzekurapa dzinosiyana kubva kukiriniki kuenda kukiriniki. Nyanzvi dzinoti nzvimbo inofanirwa kupa varwere:
A coordinating practitioner specializing in pain management and consulting specialists akamiririra murwere.
Nyanzvi yekudzorera muviri.
Chiremba wepfungwa kuti abatsire munhu kutarisana nekuora mwoyo chero kupi zvako kunofambidzana kana kushungurudzika, kunyanya kana uchibata nekurwadziwa kusingaperi. (American Society of Regional Anesthesia uye Pain Medicine. 2023 )
Zvimwe Zvishongo Zvekurapa
Humwe hunyanzvi hunomiririrwa mukugadzirisa marwadzo ndeye anesthesiology, neurosurgery, uye mushonga wemukati. Anoronga wehutano hwehutano anogona kutumira munhu kune masevhisi kubva:
Mupi wehutano anofanirwa kunge apedza kudzidziswa kwekuwedzera uye kubvumidzwa mukurapa kurwadziwa uye kuve MD ane bhodhi certification mune imwe yeiyi inotevera (American Board of Medical Specialties. 2023 )
Anesthesiology
Kuvandudza muviri
Psychiatry
Neurology
Chiremba wekurapa marwadzo anofanirwawo kuita kuti maitiro avo ave mashoma kune hunyanzvi hwavanobata chitupa.
Zvinangwa Zvekutungamirira
Munda wekugadzirisa marwadzo unobata marudzi ese emarwadzo sechirwere. Zvisingaperi, zvakadai semusoro; acute, kubva pakuvhiyiwa, nezvimwe. Izvi zvinobvumira kushandisa sainzi uye kufambira mberi kwekurapa kwekunyaradza marwadzo. Ikozvino pane nzira dzakawanda, kusanganisira:
Mishonga
Kupindira maitiro ekugadzirisa marwadzo - nerve blocks, spinal cord stimulators, uye kurapa kwakafanana.
Physical therapy
Alternative medicine
Chinangwa ndechekuderedza uye kuita kuti zviratidzo zvigadzirike.
Vandudza basa.
Wedzera hupenyu hwehupenyu. (Srinivas Nalamachu. 2013 )
Kliniki yekutarisira kurwadziwa ichapfuura nekutevera:
Kuongorora.
Diagnostic bvunzo, kana zvichidikanwa.
Physical therapy - inowedzera huwandu hwekufamba, inosimbisa muviri, uye inogadzirira vanhu kuti vadzokere kubasa uye mabasa ezuva nezuva.
Kupindira kurapwa - majekiseni kana musana wekukurudzira.
Kuendesa kune chiremba anovhiya kana zvichiratidzwa nekuongororwa uye kuongororwa.
Psychiatry kubata nekuora mwoyo, kuzvidya mwoyo, uye / kana zvimwe zvinhu zvinoperekedza zviratidzo zvinorwadza zvisingaperi.
Mumwe mushonga wekutsigira uye kuwedzera mamwe marapirwo.
Vanhu vanoita zvakanaka nehurongwa hwekugadzirisa marwadzo
Vanhu vane:
Kutambudzika shure Neck marwadzo
Ndakavhiyiwa musana kakawanda
Kuvhiya kwakakundikana
Neuropathy
Vanhu vakasarudza kuti kuvhiyiwa hakubatsiri mamiriro avo.
Kunzwisisa kuri nani kwemarwadzo ekurwadziwa nenharaunda uye makambani einishuwarenzi uye kuwedzera marwadzo zvidzidzo zvichabatsira kuwedzera inishuwarenzi yekuvhara marapirwo uye tekinoroji yekuvandudza mhedzisiro yekupindira.
Chiropractic Kuchengetedza Kusagadzikana Kwemakumbo
VIDEO
References
American Society of Regional Anesthesia uye Pain Medicine. (2023). Ihwo hunokosha hwekugadzirisa marwadzo asingagumi .
American Academy yePain Medicine (2023). NezveAmerican Academy yePain Medicine .
American Board of Medical Specialties. (2023). Iyo Yakanyanya Kuvimbwa Medical Specialty Certification Organisation .
Nalamachu S. (2013). Mhedziso yekutarisira marwadzo: kiriniki efficacy uye kukosha kwekurapa. Magazini yeAmerica yekuchengetedzwa kwakachengetedzwa, 19(14 Suppl), s261–s266.
American Society of Interventional Pain Physicians. (2023). Pain Physician .
by Dr Alex Jimenez Kudzorera Pain , Chiropractic , Dzose Kudzorera Painini , chisingaperi Pain , Pasi Pasi Pain , Spinal Decompression Treatments , Spine Care , Mishonga , Viscerosomatic Reflex
Kune vanhu vane marwadzo ekumusana, varapi vehutano vangabatanidza sei zvigadziriso zvisiri zvekuvhiya kuderedza marwadzo emusana?
ziviso
Muzongoza ndechimwe chezvimiro zvakakosha mumuviri wemunhu, zvichipa mauto ekufamba uye kugadzikana kana vertical pressure iri kudzvanya pane spinal chimiro. Muzongoza wakakomberedzwa nemhasuru dzakasiyana siyana, ligaments, uye matishu anobatsira kutsigira kumusoro nepasi zvikamu zvemuviri uye magumo. Kana zvinhu zvakajairika senge kusimudza kusimudza, zvimiro zvisina kufanira, kufutisa, kana mamiriro akange aripo atanga kukanganisa muviri, zvinogona kukonzera musana wemuzongoza kuti ukonzerese zvisingadiwe zvinotungamira kumashure, mutsipa, uye kurwadziwa kwepfudzi. Kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchi . Izvi pazvinoitika, vanhu vakawanda vanotanga kurovha basa kana kuita zvinhu zvezuva nezuva izvo zvingavaparira nhamo, uye vanotoedza kutsvaka nzira dzakasiyana-siyana dzokupedza marwadzo avari kusangana nawo. Chinyorwa chanhasi chinotarisa imwe yeakajairika marwadzo emuviri sekurwadziwa kwemusana uye kuti angakonzeresa sei nyaya dzakawanda dzinokanganisa kugona kwemunhu kuita basa, uye kuti mhinduro dzisiri dzekuvhiya dzinogona sei kuderedza marwadzo senge mhedzisiro asiwo dzinopa zororo rinodikanwa. vanhu vazhinji vanokodzera murwendo rwavo rwehutano uye hutano. Tinotaura nevarapi vane hunyanzvi vanosanganisa ruzivo rwevarwere vedu kupa zvirongwa zvakawanda zvekurapa kudzikamisa marwadzo-senge zviratidzo zvine chekuita nemusana nenyaya dzinokonzera kurwadziwa kwemusana. Isu tinozivisawo varwere vedu kuti kune zvisiri zvekuvhiya sarudzo dzekudzikisa idzi marwadzo-senyaya uye kudzorera musana wekufamba kumuviri. Tinokurudzira varwere vedu kubvunza mibvunzo yakaoma uye inodzidzisa kune vatinosanganisirwa varapi vekurapa nezve kurwadziwa-kufanana nezviratidzo zvavari kusangana nazvo zvinoenderana nechepasi musana. Dr. Alex Jimenez, DC, anoshandisa ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Kurwadza Kwemusana Kunobata Muzongoza
Iwe unowanzo sangana nemarwadzo anopenya mumusana wako wepasi izvo zvinokonzera zviratidzo zvekunzwa kana kurira kwekunzwa kusvika kumakumbo ako netsoka? Iwe unonzwa kuoma kwemhasuru mangwanani paunenge uchimuka, uchingonyangarika zvishoma nezvishoma zuva rose? Kana kuti unonzwa zviratidzo zvetsandanyama aches uye kurwadziwa kana wakatakura chinhu chinorema kubva kune imwe nzvimbo kuenda kune imwe? Vanhu vazhinji, kazhinji pane kwete, vakabata nemarwadzo ekudzokera shure ane chokuita nezvinhu zvakasiyana-siyana. Nekurwadziwa kwemusana kuve mumatambudziko matatu epamusoro akajairika muvashandi, vanhu vazhinji vakabata nedambudziko rakajairika munzira dzakawanda. Kubva pakusimudza zvinorema zvisina kufanira kusvika pakugara zvakanyanya padhesiki, kurwadziwa kwemusana kunogona kukonzera nyaya dzemusculoskeletal dziri kuyedza kuwana zororo. Kurwadziwa kwepazasi kumashure kunogona kuve kwakanyanya kana kusingaperi, zvichienderana nekuomarara. Inogona kutungamirira kuhutano hwekufamba mukati me thoracic, lumbar, uye sacroiliac spinal regions, zvichiita kuti marwadzo anotaurwa kumucheto wezasi. Inogona kutungamira kuhupenyu hwekukanganiswa pasina chero zviratidzo kana zviratidzo zvehutano hwakakomba kana hwepfungwa mamiriro ane chekuita nemamiriro ekunze. ( Delitto et al., 2012 ) Marwadzo ekudzokera shure anobatanidzwawo nemamiriro emusana sekuputika, asymmetric loading, uye kushungurudzika kwemisungo, izvo zvinogona kuita kuti zvivako zvemusana zviomerwe, zvichiita kuti disc herniations. ( Zemková & Zapletalová, 2021 )
Pamusoro pezvo, kurwadziwa kwemusana ndeye multifactorial musculoskeletal mamiriro ayo anoita kuti vanhu vazhinji vange vari mumamiriro ehupfumi nehupfumi izvo zvinogona kuderedza hupenyu hwavo. Mienzaniso yakawanda yemarwadzo ekudzokera shure inopindirana nekushandurwa kwemotokari mukati memusana erector muscles iyo inokonzera kukanganisa proprioception mumuzongoza. ( Fagundes Loss et al., 2020 ) Kana izvi zvikaitika kuvanhu vakawanda, vanowanzoona chipingamupinyi chekudzikama kwechiuno, kugadzikana kwemuviri, kumira, uye kudzora kwemashure. Panguva imwecheteyo, apo vanhu vakawanda vanoshanda vane kurwadziwa kwakanyanya kwemusana kunobatanidza nezvinhu zvezuva nezuva, kuwanda kwemarwadzo avanenge vari mukati kunogona kuchinja chikumbaridzo che mechanoreceptors ari kutumira zviratidzo zvinorwadza kuburikidza nemutsipa wepelinha. Kusvika panguva ino, marwadzo ekudzokera shure anogona kukanganisa mhinduro yeuromuscular uye inokanganisa hutano hwemusculoskeletal. Sezvineiwo, kurapwa kwakawanda kunogona kubatsira kuderedza marwadzo ekudzokera shure uye kupa zororo kumarwadzo emusana ari kubata vanhu vazhinji.
Basa ReChiropractic Care- Vhidhiyo
VIDEO
Kangani pazuva iwe unonzwa kurwadziwa shure kunobatanidza nekuoma, general aches, kana marwadzo ari kukanganisa kukwanisa kwako kushanda? Iwe unoona iwe uchivhima zvakanyanya kana uchifamba kubva kune imwe nzvimbo uchienda kune imwe? Kana kuti unonzwa aches uye kurwadziwa shure kwako mushure mekutambanudza mangwanani? Vanhu vazhinji vanobata neaya akajairika ezvakatipoteredza zvinhu vanobatana zvakanyanya nekurwadziwa kwemusana. Marwadzo ekudzokera kumashure ari mumatambudziko matatu epamusoro anowanzoonekwa nevanhu vazhinji pane imwe nguva muhupenyu hwavo. Kazhinji kazhinji, vanhu vazhinji vakabata nemarwadzo ekudzokera shure nekushandisa mishonga yemusha kuderedza marwadzo-semigumisiro. Nekudaro, ongororo dzetsvakiridzo dzinoratidza kuti kana vanhu vazhinji vakatanga kufuratira marwadzo, zvinogona kuvatungamira kuhupenyu hwekuremara uye kukonzera kuwanda kwekutambudzika kana vasina kurapwa ipapo. ( Parker et al., 2015 ) Nokudaro, kurapwa kusina kuvhiyiwa hakugoni kuderedza marwadzo ane chokuita nemarwadzo ekudzokera shure asiwo kubatsira kudzorera kufamba kwemusana. Mishonga isiri-yekuvhiya senge chiropractic kuchengetedza inosanganisira spinal manipulation, iyo inogona kukanganisa musana. ( Koes et al., 1996 ) Zvinoitwa nechiropractic ndezvokuti zvinosanganisira mechanical uye manual manipulation techniques kutambanudza misumbu yakaoma uye kuderedza trigger points kubva pakugadzirisa. Vhidhiyo iri pamusoro inoratidza kuti chiropractic kuchengetedza inogona sei kukanganisa munhu paanenge ari chikamu chehutano uye hutano rwendo rwekuderedza marwadzo ekudzokera shure.
Non-Surgical Spinal Decompression For Back Pain
Kungofanana nekuchengetwa kwechiropractic, kuparara kwepelinha ndiko kumwe kurapwa kusiri kwekuvhiya kunoshandisa kudhonza zvinyoronyoro kukweva uye kutambanudza musana kuti uderedze akamanikidzwa spinal discs ane chekuita nekurwadziwa kwemusana uye kubatsira kutambanudza mhasuru dzakasimba. Apo vanhu vazhinji vanotanga kubatanidza kupera kwepelinha sechikamu chemaitiro avo, vanozoona kuti kupera kwemusana kunogona kuderedza intradiscal pressure mukati mehutano husina kunaka. ( Ramos, 2004 ) Zvinoita izvi ndezvekuti kana ma spinal discs ari kudhonzwa nekudhonza zvinyoro, zvese zvinwiwa uye zvinovaka muviri izvo zvanga zvisiri hydrating disc inoyerera ichidzoka uye inobatsira kickstart yemuviri kuporesa maitiro. Kana vanhu vazhinji vachitanga kushandisa spinal decompression nekuda kwemarwadzo avo ekumusana, vanozoona kuderera kukuru kwemarwadzo avo mushure mezvikamu zvishoma zvakatevedzana. ( Crisp et al., 1955 ) Apo vanhu vakawanda vanotanga kusanganisa mamwe maitiro akasiyana-siyana asina kuvhiyiwa nemusana wekuparara, ivo vachakwanisa kudzorera kufamba kwavo kwemusana pavanenge vachinyanya kufunga nezvezvipi zvakatipoteredza zvinokanganisa musana wavo uye kwete kudzokorora nyaya yacho kubvumira marwadzo ekudzokera shure kudzoka.
References
Crisp, EJ, Cyriax, JH, & Christie, BG (1955). Hurukuro pamusoro pekurapa kwemusana nekudhonza. Proc R Soc Med , 48 (10), 805-814. www.ncbi.nlm.nih.gov/pubmed/13266831
www.ncbi.nlm.nih.gov/pmc/articles/PMC1919242/pdf/procrsmed00390-0081.pdf
Delitto, A., George, SZ, Van Dillen, L., Whitman, JM, Sowa, G., Shekelle, P., Denninger, TR, & Godges, JJ (2012). Low Back Pain. Zvinyorwa zveOrthopedic & Sports Kurapa Kwemuviri , 42 (4), A1-A57. doi.org/10.2519/jospt.2012.42.4.a1
Fagundes Loss, J., de Souza da Silva, L., Ferreira Miranda, I., Groisman, S., Santiago Wagner Neto, E., Souza, C., & Tarrago Candotti, C. (2020). Mhedzisiro yepakarepo ye lumbar spine manipulation pakurwadziwa senitivity uye postural control kune vanhu vane nonspecific yakaderera kurwadziwa shure: a randomized controlled trial. Chiropr Man Therap , 28 (1), 25. doi.org/10.1186/s12998-020-00316-7
Koes, BW, Assendelft, WJ, van der Heijden, GJ, & Bouter, LM (1996). Spinal manipulation for low back pain. Ongororo yakagadziridzwa yakarongeka yezviyedzo zvekiriniki zvisingaite. Pine (Phila Pa 1976) , 21 (24), 2860-2871; hurukuro 2872-2863. doi.org/10.1097/00007632-199612150-00013
Parker, SL, Mendenhall, SK, Godil, SS, Sivasubramanian, P., Cahill, K., Ziewacz, J., & McGirt, MJ (2015). Chiitiko cheKurwadza Kwepashure Mushure meLumbar Discectomy yeHerniated Disc uye Mhedzisiro Yayo paMigumisiro Yakataurwa neMurwere. Clin Orthop Relat Res , 473 (6), 1988-1999. doi.org/10.1007/s11999-015-4193-1
Ramos, G. (2004). Kubudirira kwe vertebral axial decompression pane kusingaperi kurwadziwa kwepashure: kudzidza dosage regimen. Neurol Res , 26 (3), 320-324. doi.org/10.1179/016164104225014030
Zemková, E., & Zapletalová, L. (2021). Matambudziko Ekumashure: Pros uye Cons yeCore Kusimbisa Maekisesaizi sechikamu cheVatambi Kudzidziswa. Runyorwa Rwenyika Dzese rwekutsvagisa kwezvakatipoteredza uye Hutano hwevanhu , 18 (10), 5400. doi.org/10.3390/ijerph18105400
Disclaimer
by Dr Alex Jimenez kusimbisa muviri , Musoro
Kune vanhu vakura vane matambudziko ekumira, kudonha, kutsvedza, uye kurwadza kwemusana, kuwedzera maekisesaizi embabvu kungabatsira here kuunza zororo uye kudzivirira mamiriro acho kuti asawedzera?
Yakagadziridzwa Mamiriro
Zvakajairika kubatanidza kudonha kwekumusoro kumashure nezera, asi zvimwe zvikonzero zvinogona kukonzera matambudziko. (Justyna Drzał-Grabiec, et al., 2013 ) Mbabvu cage uye pelvis zvakakosha pachimiro chemuviri uye inosanganisira yakawanda yepakati. Kana aya mapfupa emapfupa akave asina kurongeka nekuda kwemaitiro asina kunaka, misumbu inonamatira pairi inova yakasimba, isina simba, kana zvose zviri zviviri, uye misumbu yakapoteredza inofanira kubhadhara, zvichiita kuti mamiriro acho awedzere uye kuwedzera kukuvara.
Mamiriro asina kunaka anogona kukonzerwa nembabvu inodzvanyirira pabhonzo repelvic.
Sezvo iyo yekumusoro kumashure inodonha kana kumanikidza, kureba kunogona kutanga kuderera.
Mamiriro ekuziva maitiro anogona kubatsira kusimudza mbabvu kubva pabhonzo repelvic.
Rib Cage Exercises
Ichi chiitwa chinogona kuitwa wakagara kana wakamira. Chiitiko chezuva nezuva chinogona kubatsira kuvandudza kumira uye kubvisa matambudziko ekudzokera shure uye kurwadziwa.
Iyo yekugara vhezheni inobatsira kuchengetedza kutarisa pakuita chiitwa nemazvo.
Iyo yakamira vhezheni inodenha kuziva kwemuviri, ichibvumira munhu kuti anzwe kuti mbabvu yembabvu nemafambiro ekumusoro kumashure zvinokanganisa sei pelvic uye kuzasi kumashure.
Kutanga, zvinokurudzirwa kutanga munzvimbo yakagara.
Kana izvo zvekutanga zvadzidzwa, ipapo zvirokwazvo fambira mberi kusvika pakumira.
kusimbisa muviri
Gadzirisa chiuno kuitira kuti chirere kumberi zvishoma.
Uku kurerekera kumberi kunozowedzeredza iyo yakaderera kumashure curve zvishoma uchiomesa mhasuru dzepazasi nenzira yakanaka.
Kumisikidza uye kuchengetedza iyi curve munzvimbo yekugara inofanirwa kunzwa yakasikwa.
Inhale uye uwedzere kusimudza kumusoro kwembabvu cage.
Kufema kunoita kuti musana nembabvu zvirebe zvishoma.
Exhale uye bvumira mbabvu cage uye kumusoro kumashure kuti vadzokere kunzvimbo yavo yechisikigo.
Dzokorora kusvika ku10 kamwechete kana kaviri pazuva.
Pachiitwa ichi, shandisa kufema kukudziridza kusimudza kwembabvu uye kutakura zvakanyanya.
Usanyanya kubuda pane spinal extension.
Pane kudaro, tarisa kuti sei kufema /kufemereka kunotsigira kufamba kwembabvu nekumusoro kwemusana uye kuumba tsandanyama kubva ipapo.
Edza kusimudza mbabvu yembabvu zvakaenzana kumativi ose sezvo muviri unobvumira.
Nekudzidzira, vanhu vanozoona hutano hunochinja uye kuwedzera chinhambwe pakati pembabvu nepelvis.
Nhungamiro uye Kusiyana
Ita maekisesaizi nekumashure kumadziro kuti utungamirire kumashure.
Imwe mutsauko wepelvis uye rib cage posture kurovedza muviri ndeyekusimudza maoko.
Izvi zvichagadzira maonero akasiyana ekudzidzira kuziva kwemaitiro.
Tarisa pakufamba kwembabvu kana maoko akasimudzwa.
Kusimudza maoko kunoita kuti basa rive nyore, rakaoma, kana kuti rakasiyana here?
Kuti uwedzere kuvandudzwa kwechimiro, tambanudza pectoral tsandanyama.
Yoga
Vanhu vari kutsvaga dzimwe nzira dzekusimbisa hutano hwakanaka vanofanirwa kufunga nezve yoga.
Chidzidzo chakabudiswa mu International Journal yeYoga inoratidza kuti nzira huru yekumisikidza iyo musimboti inogona kunge iri yekusanganisira dzakasiyana siyana dzeyoga postures mumuitiro. (Mrithunjay Rathore et al., 2017 ) Tsandanyama dzeab dzinonamatira kunzvimbo dzakasiyana-siyana pambabvu uye dzinoita basa mukumisikidza, kurongeka, uye kuenzana. Vatsvakurudzi vakacherechedza mhasuru mbiri, ekunze obliques, uye dumbu rakachinjika, sekiyi yekumisikidzwa zvine hutano.
Core Strength
VIDEO
References
Drzał-Grabiec, J., Snela, S., Rykała, J., Podgórska, J., & Banaś, A. (2013). Kuchinja kwechimiro chemuviri chevakadzi vari kuitika nezera. BMC geriatrics, 13, 108. doi.org/10.1186/1471-2318-13-108
Rathore, M., Trivedi, S., Abraham, J., & Sinha, MB (2017). Anatomical Correlation yeCore Muscle Activation mune Yakasiyana Yogic Postures. International Journal of yoga, 10(2), 59–66. doi.org/10.4103/0973-6131.205515
Papegaaij, S., Taube, W., Baudry, S., Otten, E., & Hortobágyi, T. (2014). Kuchembera kunokonzera kurongekazve kwecortical uye musana wekudzora kwechimiro. Miganho mukuchembera neuroscience, 6, 28. doi.org/10.3389/fnagi.2014.00028
by Dr Alex Jimenez Chiropractic , Spine Care
Facet hypertrophy chirwere chisingarapike, chisingaperi chinokanganisa majoini emuzongoza. Kuziva zviratidzo, kubatsira mukuongororwa, uye kurapwa?
Facet Hypertrophy
Facet hypertrophy inoita kuti majoini emuzongoza akure. Vanowanikwa apo vertebrae inosangana kuseri kwe vertebrae inoumba musana. Aya majoini anodzikamisa musana kana uchimonyoroka nekukotama. Hypertrophy inoitika kana kukuvadzwa kuchidzika pasi shwashwa rinomisa mapfupa anosangana mujoini. Izvi zvinogona kusanganisira:
Kukwegura
Pfeka uye ubvarure
chirwere chemumajoini
Zvimwe zvirwere zvemajoini zvinogona kukuvadza facet joints.
Kuzvimba, kukura kwebhonzo idzva, uye kuputika kwebhonzo zvinogona kuitika apo chibatanidza chinoedza kugadzirisa shwashwa raparara. Kuzvimba uye kukura kwebhonzo idzva kunogona kuderedza musana wemusana uye kumanikidza tsinga dzakatenderedza, zvichikonzera marwadzo uye zvimwe zviratidzo zvekunzwa. Chirwere ichi hachina mushonga uye chinowedzera nekufamba kwenguva. Chinangwa chekurapa ndechekugadzirisa zviratidzo zvekurwadziwa uye kuderedza kufambira mberi kwechirwere.
Types
Facet hypertrophy inogona kutsanangurwa se unilateral kana mbiri .
Unilateral - kurwadziwa kunonzwika kune rumwe rutivi.
Bilateral - kurwadziwa kunonzwika kumativi ose maviri
Munzvimbo dzinotevera: (Romain Perolat et al., 2018 )
magaro
Mativi ezvidya
Mashu
zviratidzo
Zviratidzo zvinogona kuva nehupamhi hwakasiyana-siyana, kubva pakurwadziwa kunorwadza kusvika kune kusingaperi, kushungurudza kurwadziwa. Nzvimbo yezviratidzo zvinoenderana nejoint yakakanganiswa uye tsinga dzinobatanidzwa, Marwadzo anoratidza apo majoini akakura uye kukura kwebhonzo kutsva kunomanikidza tsinga dziri pedyo. Mhedzisiro inotungamira mukukuvadzwa kwetsinga uye zvinotevera zviratidzo: (Weill Cornell Mushonga Brain & Spine Center. 2023 ) (Misidhari Sinai. 2022 )
Kuoma, kunyanya pakusimuka kana kubva pachigaro.
Kusagona kumira zvakanaka pakufamba.
Kusagona kutarisa kumusoro kuruboshwe kana kurudyi pasina kutenderedza muviri wese.
Yakaderedzwa huwandu hwekufamba uye kufamba.
Chiveve kana kuti kurira kwemapini netsono.
Tsvina dzemuviri
Utsi husina simba
Burning pain
Izvi zvinotevera zviratidzo zvakanangana nenzvimbo yejojo rakakanganiswa (Weill Cornell Mushonga Brain & Spine Center. 2023 ) (Misidhari Sinai. 2022 )
Kupisa marwadzo kubva pajoini rakakanganiswa kupinda mumagaro, muhudyu, uye nechepamusoro pechidya kana majoini/s akakanganisika ari kuzasi musana.
Kupisa marwadzo kubva pajojo rakakanganiswa kupinda mubendekete, mutsipa, uye kumashure kwemusoro kana majoini akakanganisika ari kumusana.
Kutemwa nemusoro kana mubatanidzwa unobatwa uri mumutsipa.
Zvinokonzera
Chikonzero chinowanzoitika ndeche kuderera kwezera yemajoini, inonzi spondylosis . Tsvagiridzo inoratidza kuti vanopfuura 80% yevanhu vane makore makumi mana kana kupfuura vane radiologic humbowo hwe spondylosis, kunyangwe vangave vasina zviratidzo. (Yunivhesiti yeToledo Medical Center. ND Mamiriro anotevera anogonawo kuwedzera njodzi yefacet hypertrophy (Weill Cornell Mushonga Brain & Spine Center. 2023 )
Mamiriro asina kunaka
Kunyanya kuwandisa kana kuoma
Sedentary lifestyle
Kukuvara kana kukuvadzwa kumusana
Mamiriro ekuzvimba senge rheumatoid arthritis kana ankylosing spondylitis
Osteoarthritis
Genetic predisposition kune mamiriro
kuongorora chirwere
Kuongororwa kunogona kuva kwakaoma kana mutsipa kana kurwadziwa shure ndiko kunyunyuta kukuru, sezvo zviratidzo zvinogona kutevedzera mamiriro ezvinhu akadai sciatica kubva kune herniated disc kana hip arthritis. (Weill Cornell Mushonga Brain & Spine Center. 2023 )
CT inoongorora ine kana isina myelogram - kushandiswa kwekusiyanisa dhayi munzvimbo yakatenderedza musana.
MRI
X-rays ine kana isina myelogram
Kuongororwa kunosimbiswa nekubaya jekiseni rekuongorora rinosanganisira kubaya jekiseni rekutindivadza, dzimwe nguva rine anti-kuzvimba senge cortisone, mujoini kana tsinga dziri pedyo nejoini rabatwa. Majekiseni maviri anopihwa panguva dzakasiyana kuratidza mhedzisiro. (Romain Perolat et al., 2018 )
Kana kukurumidza kusununguka kunovandudza mushure mejekiseni rega rega, iyo facet joint inosimbiswa senzvimbo yezviratidzo zvemarwadzo.
Kana iyo block ikasaderedza marwadzo, iyo facet yakabatana ingangove isiri iyo sosi yemarwadzo ezviratidzo. (Brigham uye Chipatara chevakadzi. 2023 )
mabatiro
Iko hakuna mushonga we facet hypertrophy.
Kurapa kwekuchengetedza
Kurapa kwekutanga kunosanganisira kushandisa marapirwo anochengetedza (Romain Perolat et al., 2018 )
Massage therapy
Physical therapy kusimbisa mhasuru dzepakati uye musana.
Zviitwa zvakanangwa kubatsira kuchengetedza kuchinjika.
Chiropractic kugadzirisa kugadzirisa musana.
Healthy posture retraining.
Non-surgery mechanical decompression. Kushingirira kudzikamisa musana
Acupuncture
Nonsteroidal anti-inflammatory - aspirin, ibuprofen, naproxen.
Kuzorodza tsandanyama - cyclobenzaprine kana metaxalone.
Majekiseni eSteroid mumajoini emafacet.
Injection yeplatelet-rich plasma / PRP mumajoini.
Medial Branch kana Facet Block
A medial branch block inobaya anesthetic yemunharaunda pedyo nepakati tsinga dzinobatana nejoint rakatsva.
Medial nerves itsinga diki dziri kunze kwenzvimbo yakabatana pedyo netsinga inotumira masaini uye mamwe mafungiro kuuropi.
A facet block inobaya mushonga kunze kwenzvimbo yakabatana pedyo netsinga inopa mubatanidzwa unonzi medial branch.
Neurolysis
Neurolysis, inozivikanwawo se rhizotomy kana neurotomy, inzira inoparadza tsinga dzakakanganisika kuti dzibvise marwadzo, kuderedza hurema, uye kuderedza kudiwa kweanalgesics. Kurapa uku kunogona kuderedza marwadzo kwemwedzi mitanhatu kusvika ku12 kusvikira tsinga yatangazve, uko kumwe kurapwa kungave kuri madikanwa. (Matthew Smuck et al., 2012 ) Neurolysis inogona kuitwa uchishandisa imwe yeanotevera maitiro (Romain Perolat et al., 2018 )
Radiofrequency ablation RFA - kushandiswa kwekupisa kuburikidza ne radiofrequency.Cryoneurolysis - kushandiswa kwekushisa kwechando kune yakananga tsinga.Kemikari neurolysis - kushandisa makemikari ejenti, senge musanganiswa we phenol uye doro.Kucheka tsinga nekuvhiya chiridzwa.
Surgery
Kana imwe kana akawanda majoini akakuvadzwa zvakanyanya, anogona kusashanda uye kurwadza. Kuvhiya kunogona kukurudzirwa kana zviratidzo zvikasazorodzwa nemamwe marapiro. (Ali Fahir Ozer, et al., 2015 )
Prognosis
Facet hypertrophy chirwere chisingaperi chinofambira mberi nezera uye hachikanganisi tarisiro yehupenyu. (Weill Cornell Mushonga Brain & Spine Center. 2023 ) Chirwere chacho hachirapiki, asi zviratidzo zvinogona kugadziriswa nemishonga inochengetedza
Mutariri wehutano anogona kubatsira kugadzira chirongwa chekurapa zvichienderana nehukuru uye nzvimbo yejoini yakabatwa.
Kukurumidza kuongororwa uye kurapwa kunogona kubatsira vanhu kuwana mhedzisiro yakanaka.
Kuchengeta mararamiro anoshanda uye uremu hune hutano hunogona kubatsira kudzivirira kumwe kushushikana kwemajoini. Vanhu vanogona kukurudzirwa kuita nguva dzose kutambanudza uye kusimbisa maekisesaizi kuderedza kuzvimba, kuderedza kushushikana, nekuvandudza hutano hwese.
Facet Syndrome Kurapa
VIDEO
References
Perolat, R., Kastler, A., Nicot, B., Pellat, JM, Tahon, F., Attye, A., Heck, O., Boubagra, K., Grand, S., & Krainik, A. ( 2018). Facet Joint Syndrome: kubva pakuongororwa kusvika pakupindira manejimendi. Manzwisisiro ekufungidzira, 9(5), 773–789. doi.org/10.1007/s13244-018-0638-x
Weill Cornell Mushonga Brain & Spine Center. (2023). Zviratidzo zve facet syndrome .
Misidhari Sinai. (2022). Facet yakabatana chirwere .
Yunivhesiti yeToledo Medical Center. (ND). Spondylosis .
Weill Cornell Mushonga Brain & Spine Center. (2023). Facet syndrome .
Weill Cornell Mushonga Brain & Spine Center. (2023). Kuongorora uye kurapa facet syndrome .
Brigham uye Chipatara chevakadzi. (2023). Facet uye medial bazi blocks .
Smuck, M., Crisostomo, RA, Trivedi, K., & Agrawal, D. (2012). Kubudirira kwekutanga uye kudzokororwa kwepakati yebazi neurotomy ye zygapophysial marwadzo akabatana: kuongorora kwakarongeka. PM & R: bhuku rekukuvara, basa, uye kugadzirisa, 4 (9), 686-692. doi.org/10.1016/j.pmrj.2012.06.007
Ozer, AF, Suzer, T., Sasani, M., Oktenoglu, T., Cezayirli, P., Marandi, HJ, & Erbulut, DU (2015). Yakareruka facet yekubatanidza kugadzirisa ine dynamic pedicular system: Tekinoroji chinyorwa uye nyaya dzakatevedzana. Nyaya ye craniovertebral junction & musana, 6 (2), 65-68. doi.org/10.4103/0974-8237.156049
by Dr Alex Jimenez Hip Pain & Dambudziko , Mitambo Injodzi
Vatambi uye vanhu vakagwinya vanotora chikamu mumitambo, maekisesaizi, uye mitambo inosanganisira kukava, kutenderera, uye/kana kushandura mafambiro vanogona kukudziridza pelvis yakanyanyisa kukuvara kwe pubic symphysis/join kumberi kwepelvis inozivikanwa se osteitis pubis. Kuziva zviratidzo uye zvinokonzera rubatsiro mukurapa nekudzivirira?
Osteitis Pubis Kukuvara
Osteitis pubis ndiko kuzvimba kwejoinhi rinobatanidza mapfupa epelvic, rinonzi pelvic symphysis, uye zvimiro zvakaripoteredza. The pubic symphysis ijoint pamberi nepasi pedundira. Inobata mativi maviri emboro pamwe chete kumberi. Iyo pubis symphysis ine zvishoma zvishoma kufamba, asi kana kusagadzikana kana kuenderera mberi kunetseka kunoiswa pajoinhi, groin uye kurwadziwa kwepelvic kunogona kuratidza. Kukuvara kwe osteitis pubis kunowanzo kuvadza zvakanyanya muvanhu vakagwinya uye vatambi asi zvinogonawo kuitika semhedzisiro yekukuvara kwemuviri, nhumbu, uye / kana kuzvara mwana.
zviratidzo
Chiratidzo chinonyanyozivikanwa marwadzo pamusoro pepamberi pechiuno. Marwadzo anowanzonzwika pakati, asi rimwe divi rinogona kurwadza kupfuura rimwe. Marwadzo acho anowanzo penya / anopararira kunze. Zvimwe zviratidzo nezviratidzo zvinosanganisira: (VaPatrick Gomella, VaPatrick Mufarrij. 2017 )
Kurwadza kwepazasi kwedumbu pakati pechiuno
Limping
Hip uye / kana gumbo kupera simba
Kuoma kukwira matanho
Marwadzo kana uchifamba, uchimhanya, uye/kana uchichinja nzira
Kudzvanya kana kubuda ruzha nekufamba kana pakuchinja mafambiro
Marwadzo kana akarara pasi nedivi
Marwadzo pakuhotsira kana kukosora
Osteitis pubis inogona kuvhiringika nekumwe kukuvadzwa, kusanganisira groin strain / groin pull, a direct inguinal hernia, ilioinguinal neuralgia, kana kuputsika kwepelvic stress.
Zvinokonzera
Osteitis pubis kukuvara kunowanzoitika apo symphysis joint inoratidzirwa kune yakawandisa, inoenderera mberi, inotungamira kushungurudzika uye kushandiswa zvakanyanya kwehudyu nemakumbo emakumbo. Zvikonzero zvinosanganisira: (VaPatrick Gomella, VaPatrick Mufarrij. 2017 )
Mabasa emutambo
Kuratidza
Mimba uye kubereka mwana
Kukuvara kwePelvic sekudonha kwakanyanya
kuongorora chirwere
Kukuvara kunowanikwa zvichienderana nekuongorora kwepanyama uye kuongororwa kwekufungidzira. Mimwe bvunzo inogona kushandiswa kutonga kunze kwezvimwe zvinokonzeresa.
Kuongororwa kwemuviri kunosanganisira kushandura hudyu kuti uise kushushikana pane rectus abdominis trunk muscle uye adductor chidya tsandanyama mapoka.
Marwadzo panguva yekushandiswa chiratidzo chinowanzoitika chemamiriro acho.
Vanhu vanogona kukumbirwa kufamba kuti vatarise zvisizvo mumatanho ekufamba kana kuona kana zviratidzo zvichiitika nemamwe mafambiro.
X-rays inowanzoratidza kusawirirana kwejoints pamwe nesclerosis / thickening ye pubic symphysis.
Magnetic resonance imaging - MRI inogona kuratidza kubatana uye kutenderedza pfupa kuzvimba.
Zvimwe zviitiko hazvizoratidze zviratidzo zvekukuvara pa X-ray kana MRI.
mabatiro
Kurapa kunoshanda kunogona kutora mwedzi yakawanda kana kupfuura. Nekuti kuzvimba ndicho chikonzero chinokonzera zviratidzo, kurapwa kunowanzo kusanganisira: (Tricia Beatty. 2012 )
Zorora
Inobvumira kupisa kwakanyanya kuderera.
Panguva yekupora, kurara kumusana kunogona kukurudzirwa kuderedza marwadzo.
Ice uye Kupisa Zvikumbiro
Ice packs inobatsira kuderedza kuzvimba.
Kupisa kunobatsira kurerutsa marwadzo mushure mekunge kuzvimba kwekutanga kwadzika.
Therapy Therapy
Anti-kuzvimba Mushonga
Over-the-counter nonsteroidal anti-inflammatory drugs - NSAIDs senge ibuprofen uye naproxen inogona kuderedza marwadzo uye kuzvimba.
Zvishandiso zveAssistive Walking
Kana zviratidzo zvakanyanya, madondoro kana tsvimbo inogona kukurudzirwa kuderedza kushushikana pane pelvis .
Cortisone
Pakave nekuedza kurapa mamiriro nemajekiseni e-cortisone, asi humbowo hunotsigira kushandiswa kwayo hushoma uye hunoda kumwe kutsvakurudza. (Alessio Giai Via, et al., 2019 )
Prognosis
Kana yangoonekwa, kufungidzira kwekupora kuzere kwakanaka asi kunogona kutora nguva. Zvinogona kutora vamwe vanhu mwedzi mitanhatu kana kupfuura kuti vadzokere kune pre-kukuvara danho rekushanda, asi vazhinji vanodzoka mushure memwedzi mitatu. Kana kurapwa kwechinyakare kukatadza kupa zororo mushure memwedzi mitanhatu, kuvhiyiwa kunogona kukurudzirwa. (Michael Dirkx, Christopher Vitale. 2023 )
Makuvara Emitambo Kuvandudza
VIDEO
References
Gomella, P., & Mufarrij, P. (2017). Osteitis pubis: Chikonzero chisingawaniki chekurwadziwa kwe suprapubic. Ongororo muurology, 19 (3), 156-163. doi.org/10.3909/riu0767
Beatty T. (2012). Osteitis pubis muvatambi. Mishumo yezvino yemishonga yemitambo, 11 (2), 96-98. doi.org/10.1249/JSR.0b013e318249c32b
Via, AG, Frizziero, A., Finotti, P., Oliva, F., Randelli, F., & Maffulli, N. (2018). Kutungamirirwa kwe osteitis pubis muvatambi: kugadziriswa uye kudzokera kukudzidzira - kuongororwa kwezvinyorwa zvemazuva ano. Vhura bhuku rekushandisa remishonga yemitambo, 10, 1-10. doi.org/10.2147/OAJSM.S155077
Dirkx M, Vitale C. Osteitis Pubis. [Yakavandudzwa 2022 Zvita 11]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK556168/
by Dr Alex Jimenez Functional Medicine , Gastro Intestinal Health , Viscerosomatic Reflex
Vanhu vane dambudziko rekugaya izvo zvisingakwanisi kuonekwa vanogona kunge vari kusangana nekushanda kwegastrointestinal kusagadzikana. Kunzwisisa marudzi kungabatsira here kugadzira zvirongwa zvekurapa zvinoshanda?
Functional Gastrointestinal Disorders
Kushanda gastrointestinal kusagadzikana, kana FGDs , ihosha dzegadziriro yekugaya umo kuvapo kwechimiro kana matishu abnormality kusingagoni kutsanangura zviratidzo. Inoshanda gastrointestinal kusagadzikana inoshaya zvinozivikanwa biomarkers uye inoongororwa zvichienderana nezviratidzo. (Christopher J. Black, et al., 2020 )
Roma Criteria
FGDs dzakashandisa kuongororwa kwekusabatanidzwa, zvichireva kuti vaigona kungoonekwa mushure mekunge organic / identifiable chirwere chabviswa. Zvisinei, muna 1988, boka revatsvakurudzi nevarapi vehutano vakasangana kuti vagadzire nzira dzakasimba dzekuongororwa kwemhando dzakasiyana dzeFGDs. Iyo nzira inozivikanwa seRome Criteria. (Max J. Schmulson, Douglas A. Drossman. 2017 )
FGDs
Rondedzero yakazara sezvakatsanangurwa neRome III maitiro (Ami D. Sperber et al., 2021 )
Functional Esophageal Disorders
Kushanda chirungurira
Kushanda kurwadziwa kwechipfuva kunofungidzirwa kuve kwesophageal kwakabva
Kushanda dysphagia
Globus
Functional Gastroduodenal Disorders
Kubheuka kwakanyanya kusingazivikanwe
Functional dyspepsia - inosanganisira postprandial distress syndrome uye epigastric pain syndrome.
Chronic idiopathic nausea
aerophagia
Kushanda kurutsa
Cyclic vomiting syndrome
Rumination syndrome muvanhu vakuru
Functional Bowel Disorders
Irritable bowel syndrome - IBS
Functional constipation
Manyoka anoshanda
Kusatariswa kunoshanda bowel kusagadzikana
Functional Abdominal Pain Syndrome
Kushanda marwadzo emudumbu - FAP
Inoshanda Gallbladder uye Sphincter yeOddi Disorders
Functional gallbladder disorder
Inoshanda biliary Sphincter yeOddi disorder
Inoshanda pancreatic Sphincter yeOddi kusagadzikana
Functional Anorectal Disorders
Kushanda fecal incontinence
Functional Anorectal Pain - inosanganisira chronic proctalgia, Levator ani syndrome, isina kutaurwa inoshanda anorectal pain, uye proctalgia fugax.
Functional Defecation Disorders - inosanganisira dyssynergic defecation uye isina kukwana defecatory propulsion.
Childhood Functional GI Disorders
Mucheche/Mucheche (Jeffrey S. Hyams et al., 2016 )
Mucheche colic
Functional constipation
Manyoka anoshanda
Cyclic vomiting syndrome
Kuchenesa vacheche
Infant rumination syndrome
Mucheche dyschezia
Childhood Functional GI Disorders:
Mwana/Adolescent
Kurutsa uye Aerophagia - cyclic vomiting syndrome, adolescent rumination syndrome, uye aerophagia.
Abdominal Pain-Related Functional GI Disorders dzinosanganisira:
kushanda dyspepsia
IBS
Abdominal migraine
Childhood functional abdominal kurwadziwa
Childhood functional abdominal pain syndrome
Constipation - functional constipation
Incontinence - kusagadzikana kwefecal incontinence
kuongorora chirwere
Kunyangwe maitiro eRome achibvumira kuongororwa kweFGDs kuve-chiratidzo-kwakavakirwa, mupi wehutano anogona achiri kumhanyisa bvunzo dzekuongorora kuti abvise zvimwe zvirwere kana kutsvaga matambudziko emugadzirirwo anokonzeresa zviratidzo.
mabatiro
Kunyangwe pasina zviratidzo zvinooneka zvechirwere kana matambudziko emugadzirirwo angaonekwa sekukonzera zviratidzo, hazvireve kuti hazvisi izvo. zvinorapika uye zvinogoneka . Kune vanhu vanofungidzira kuti vanogona kunge vaine kana kuti vakaonekwa vaine chirwere chemudumbu chinoshanda, zvichave zvakakosha kushanda nemupi wehutano pachirongwa chekurapa chinoshanda. Nzira dzekurapa dzinogona kusanganisira: (Asma Fikree, Peter Byrne. 2021 )
Physical therapy
Kugadziriswa kwezvokudya uye kudya
Kushungurudzika mupfungwa
Psychotherapy
Mishonga
Biofeedback
Kudya Zvakanaka Kuti Unzwe Zvirinani
VIDEO
References
Dema, CJ, Drossman, DA, Talley, NJ, Ruddy, J., & Ford, AC (2020). Inoshanda gastrointestinal kusagadzikana: kufambira mberi mukunzwisisa uye manejimendi. Lancet (London, England), 396(10263), 1664–1674. doi.org/10.1016/S0140-6736(20)32115-2
Schmulson, MJ, & Drossman, DA (2017). Chii Chitsva muRoma IV. Nyaya ye neurogastroenterology uye motility, 23 (2), 151-163. doi.org/10.5056/jnm16214
Sperber, AD, Bangdiwala, SI, Drossman, DA, Ghoshal, UC, Simren, M., Tack, J., Whitehead, WE, Dumitrascu, DL, Fang, X., Fukudo, S., Kellow, J., Okeke , E., Quigley, EMM, Schmulson, M., Whorwell, P., Archampong, T., Adibi, P., Andresen, V., Benninga, MA, Bonaz, B., … Palsson, OS (2021). Kuwanda Kwepasirese uye Kuremerwa kweInoshanda Gastrointestinal Disorders, Zvabuda zveRome Foundation Global Study. Gastroenterology, 160 (1), 99-114.e3. doi.org/10.1053/j.gastro.2020.04.014
Hyams, JS, Di Lorenzo, C., Saps, M., Shulman, RJ, Staiano, A., & van Tilburg, M. (2016). Functional Disorders: Vana uye Vachiri Kuyaruka. Gastroenterology, S0016-5085(16)00181-5. Advance online kudhindwa. doi.org/10.1053/j.gastro.2016.02.015
Fikree, A., & Byrne, P. (2021). Kutungamirirwa kwehutano hwehutano hwemimba. Mishonga yekiriniki (London, England), 21 (1), 44-52. doi.org/10.7861/clinmed.2020-0980
by Dr Alex Jimenez Chiropractic , Kufamba & Kuchinja
Kune vanhu vane zviratidzo zvekurwadziwa kwepelvis uye matambudziko anosanganisirwa, kubatanidza pelvic floor physiotherapy kurovedza muviri kunobatsira nekurapa nekudzivirira?
Pelvic Floor Physical Therapy
Mitsipa yepelvic iri pazasi pepelvis uye inodzivirira nhengo dzepelvic semukadzi, cervix, chibereko, dundira, urethra, uye rectum. (US Food and Drug Administration. 2019 )
Ivo vanopa posture rutsigiro, rubatsiro mu orgasm basa, kufambisa sphincter basa, uye kubatsira kupomba lymphatic ropa. (Dulcegleika Vilas Boas Sartori, et al., 2021 ) (Varuna Raizada, Ravinder K. Mittal. 2008 )
Kana tsandanyama dzatadza kushanda nemazvo, vanhu vanogona kuona zviratidzo zvakaita se:
Kusangana kunorwadza
Prolapse - apo nhengo kana matishu inodonha kana kusuduruka kubva panzvimbo.
Urinary incontinence
Matambudziko ekuzvimbirwa
Mamiriro aya anowanikwa kune vanhu vane pamuviri kana vakadzi vakuru.
Zviratidzo izvi zvinogona kurapwa nepelvic floor physical therapy kuderedza kusagadzikana. Pelvic floor physical therapy inogona kubatsira vakadzi nevanhu vane vaginas:
Rerutsira nyaya dzakaita senge kurwadza kwebonde, kubuda weti, uye prolapse.
Mukurapa kwemuviri, vanhu vanoshanda pakufema, kuzorora, uye kurebesa uye kusimbisa nzira dzekudzidzisa mhasuru dzavo kuti dzishande zvakanaka.
Zvinokonzera Pelvic Floor Issues
Kusashanda zvakanaka kwePelvic floor kunowanzoitika nezera, panguva yekuzvitakura, kana mukubatana nezviitiko zvakaita senge postpartum period uye menopause, izvo zvinogona kuderedza mazinga ehomoni.
Vanhu vane pamuviri vanonyanya kunetseka nenyaya dzepelvic floor asi vangasaziva kuti vane dambudziko.
Huremu hwepamuviri hwechibereko hunogona kumanikidza uye kushungurudza mhasuru.
Kusununguka kwemukadzi kunogonawo kutambanudza kana kuderedza mhasuru. (Ilaria Soave, et al., 2019 )
zviratidzo
Zviratidzo zvinogona kusanganisira: (Columbia Surgery. 2022 )
Marwadzo munharaunda yepelvis
Kutambudzika shure
Kunorwadza weti
Constipation
Urinary leakage kana incontinence
Kubuda kwetsvina kana kusagadzikana
Kusangana kunorwadza
Kana zvikasarapwa, zviratidzo izvi zvinogona kuwedzera nekufamba kwenguva.
Pelvic Floor Physical Therapy
Munhu anosangana nenyanzvi kuti vakurukure zviratidzo uye kuongororwa muviri kunosanganisira:
Kuongororwa kwePelvic floor.
Kuongororwa kwechimiro, kufamba, uye simba repakati.
Kana bvunzo dzekutanga nekuongororwa kwapera, murapi anoenda pamusoro pezviitwa zvepelvic pasi uye nekupa chirongwa chekurapa.
Maekisesaizi anokurudzirwa anosiyana zvichienderana nezviratidzo asi tarisa pakuzorora, kutambanudza, uye/kana kusimbisa tsandanyama.
Tsandanyama Relaxation
Kuzorodza tsandanyama, murapi angakurudzira maekisesaizi ekufema.
Kune vanhu vane pamuviri, izvi zvinoreva kuronga nguva yekufema nemacontractions.
Kune vanhu vari kusangana nekuvhara, maekisesaizi ekufema anogona kubatsira muviri kuzorora uye kuderedza kushushikana.
Kutambanudza Tsandanyama
Kutambanudza kunogona kubatsira kubvisa kusimba kwemhasuru uye kuoma.
Murapi anogona kubatsira kutambanudza pelvic pasi kuburikidza nenzira dzakasiyana dzekurapa.
Rudzi urwu rwekurapa kwemuviri runogona kubatsira kusunungura mhasuru dzakasimba kana kubatsira zvinyoro nyoro kudzoreredza nhengo dzakabviswa panzvimbo.
Kusimbisa Tsandanyama
Mushure mekunge pelvic pasi yasununguka uye yakasununguka, iyo inotarisisa inowanzochinja pakusimbisa mhasuru.
Basa resimba rinogona kunanga mhasuru dzemudumbu kana tsandanyama dzepelvic pachadzo.
Nenguva, kuzvipira, uye kurapwa kwakanangwa, vanhu vanogona kushandisa pelvic pasi kurapa kwemuviri kusunungura matishu, kusimbisa mhasuru, uye. kudzorera basa .
Spinal Decompression In Deep
VIDEO
References
US Food and Drug Administration. (2019). Pelvic organ prolapse (pop) .
Sartori, DVB, Kawano, PR, Yamamoto, HA, Guerra, R., Pajolli, PR, & Amaro, JL (2021). Simba retsandanyama yepelvic rinoenderana nekuita zvepabonde. Kuongorora uye kliniki urology, 62 (1), 79-84. doi.org/10.4111/icu.20190248
Raizada, V., & Mittal, RK (2008). Pelvic floor anatomy uye inoshandiswa physiology. Gastroenterology makiriniki eNorth America, 37(3), 493–vii. doi.org/10.1016/j.gtc.2008.06.003
Soave, I., Scarani, S., Mallozzi, M., Nobili, F., Marci, R., & Caserta, D. (2019). Pelvic floor muscle kudzidziswa kudzivirira uye kurapwa kweurinary incontinence panguva yekuzvitakura uye mushure mekusununguka uye maitiro ayo paurinary system uye zvimiro zvinotsigira zvinoongororwa nechinangwa chekuyera nzira. Zvinyorwa zveGynecology uye Obstetrics, 299 (3), 609-623. doi.org/10.1007/s00404-018-5036-6
Columbia Surgery. (2022). Pelvic floor kusagadzikana: mibvunzo inowanzo bvunzwa .
